Rajaian Shanmugasundaram, Murugavaithianathan Pragatheeswarane, Krishnamurthy Karrthik, Murugasen Lakshman
Department of Urology, MIOT International, Chennai, Tamil Nadu, India.
Urol Ann. 2020 Jan-Mar;12(1):87-89. doi: 10.4103/UA.UA_165_18. Epub 2019 Nov 7.
A 53-year-old female presented with left loin pain and imaging showed left pan-ureteral stricture secondary to tuberculosis. The renal unit was salvaged by percutaneous nephrostomy. She was planned for ileal ureteric replacement. An extended Boari flap was constructed for her as the bladder capacity was good and Boari bladder flap reached the renal pelvis without tension. Follow-up nephrostogram revealed wide pyelovesical junction with prompt drainage. She completed antituberculous treatment. Extended Boari flap is rarely used for upper ureteric reconstruction. It should be considered as an option for complete ureteric reconstruction in the unilateral pan-ureteral stricture in selected cases.
一名53岁女性因左腰部疼痛就诊，影像学检查显示左全输尿管狭窄继发于结核病。通过经皮肾造瘘术挽救了肾单位。她计划进行回肠代输尿管术。由于膀胱容量良好且Boari膀胱瓣无张力地到达肾盂，因此为她构建了一个延长的Boari瓣。随访肾造影片显示肾盂膀胱连接部宽阔且引流迅速。她完成了抗结核治疗。延长的Boari瓣很少用于上段输尿管重建。在某些特定病例中，对于单侧全输尿管狭窄的完全输尿管重建，应将其视为一种选择。
